Perioperative Management of Elective Surgery in Patients with COVID-19 Infection

  • Tjokorda Gde Agung Senapathi Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia
  • I Made Gede Widnyana Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia
  • Marilaeta Cindryani Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia
  • Win Muliadi Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia
  • Madyline Victorya Katipana Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia
Keywords: anesthesia, COVID-19, elective, perioperative

Abstract

SARS-CoV2 is a deadly virus belonging to the family Corona-viridae, with the primary target pulmonary system, known as the coronavirus pandemic disease (COVID-19). This virus has caused a high death rate of approximately 9,500 deaths as of December 2020. Along this pandemic, the hospital will treat non-emergent conditions in COVID-19 patients require nonemergent surgery. Anesthesiologists have an important role in the anesthesia management in patients with COVID-19 utilization and require airway management. This article explains optimal preoperative evaluation, intraoperative management, and postoperative management of COVID-19 patients. Optimal treatment is expected to minimize complications and the spread of COVID-19 disease. The optimal time for elective surgery should be decided by a multidisciplinary committee that considers the risk of complications either the patient, the disease itself, the surgical procedure, or other alternatives with lower risk. Perioperative management is carried out preoperatively, intraoperatively, and postoperatively. The safety of anesthesiologists using personal protective equipment (PPE) to carry out preoperative evaluations is important. The number of disease severity can use a scoring system, the results of which can be used as a reference for multidisciplinary discussions related to perioperative management plans. General anesthesia can contribute to the spread of disease resulting from the risk of droplets resulting from airway action, so regional anesthesia can be considered to reduce the risk of spread. For this reason, optimal management is needed to reduce risks to patients as well as medical personnel.

Author Biographies

Tjokorda Gde Agung Senapathi, Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

I Made Gede Widnyana, Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Marilaeta Cindryani, Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Win Muliadi, Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Madyline Victorya Katipana, Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University - Central General Hospital Prof. I.G.N.G. Ngoerah, Denpasar, Indonesia

Published
2023-02-27